Organization
FORT VANCOUVER DENTAL CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B SWAN D.D.S. (OWNER)
(360) 256-2400
Entity
Organization
Contact information
Practice address
718 NE 87TH AVE STE 100, VANCOUVER, WA 98664-1970
(360) 256-2400
(360) 253-9123
Mailing address
718 NE 87TH AVE STE 100, VANCOUVER, WA 98664-1970
(360) 256-2400
(360) 253-9123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5262209
—
WA
Enumeration date
06/13/2007
Last updated
08/22/2020
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